Membership Form

Confidential Membership Application Form

First Name

Last Name

Physical Address

Mobile Phone Number

Home Phone Number

Email Address

Date of Birth (MM/DD/YYYY)

What is your citizenship / nationality?

What is your current occupation?

Where are you currently employed?

What are some of your hobbies?

What are some of your talents?

Have you ever been baptised by water?
Yes
No

If you answered yes, please let us know approximately the month and year.

Do you know what your spiritual gift(s) is/are?
Yes
No

If you answered yes, please let us know what your spiritual gift(s) is/are.

Why have you decided to join Cornerstone?

What would you say are your strengths?

What would you say are your weaknesses?

What areas in your life do you desire prayer for?

Please state any other comments about yourself that you would like to share with the Pastors.

Marital Status
Single
Engaged
Married
Divorced
Separated
Divorced & Remarried
Widow

If you are married or engaged, what is the name of your spouse or fiancé?

Do you have any children?

If you answered yes, please let us know their name(s) and birthdate(s).

Please state the name(s) of the person(s) in your household that you presently live with and their relation to you.

Are you transferring your membership from another church?
Yes
No

If you answered yes, please tell us the name and address of the church you are transferring from.

How long did you attend your previous church?

What previous church ministry experience have you had?

Please tell us the circumstances that led you to become a Christian.

Monday - Friday: 10am-4pm

Sundays: 10am
Tuesdays: 6pm

(441) 295-9640
info@cornerstone.bm
82 Church Street HM12 Bermuda